CAJ | 학술논문

目的：探讨血钾监测在青光眼治疗中的必要性，提醒眼科医师对低钾血症这一现象的重视，提高临床合理用药水平。方法对40例青光眼患者治疗过程中出现低钾血症的临床资料进行回顾性分析，分析其病因，总结其临床特点。结果320例青光眼患者治疗中出现低钾血症40例，发生率为12．5％。40例低钾血症患者中合并高血压病27例（67．5％）、糖尿病25例（62．5％）、甲状腺功能亢进3例（7．5％）。结论青光眼患者治疗过程中存在药源性低钾血症的潜在危险，多种内分泌、代谢性疾病也可引起低钾血症，眼科医师需充分提高对低钾血症的认识，及时作出诊断和治疗，防止发生更严重的并发症，甚至危及生命。（中国眼耳鼻喉科杂志，2014，14：287-290）
목적：탐토혈갑감측재청광안치료중적필요성，제성안과의사대저갑혈증저일현상적중시，제고림상합리용약수평。방법대40례청광안환자치료과정중출현저갑혈증적림상자료진행회고성분석，분석기병인，총결기림상특점。결과320례청광안환자치료중출현저갑혈증40례，발생솔위12．5％。40례저갑혈증환자중합병고혈압병27례（67．5％）、당뇨병25례（62．5％）、갑상선공능항진3례（7．5％）。결론청광안환자치료과정중존재약원성저갑혈증적잠재위험，다충내분비、대사성질병야가인기저갑혈증，안과의사수충분제고대저갑혈증적인식，급시작출진단화치료，방지발생경엄중적병발증，심지위급생명。（중국안이비후과잡지，2014，14：287-290）
Objective To discuss the necessity of serum potassium monitoring in the treatment of glaucoma , to remind the ophthalmologists to pay attention to low potassium phenomenon , and to improve the level of clinical rational use of drugs.Methods Data of 40 cases with hypokalemia appeared during the treatment of glaucoma were retrospectively analyzed . The causes were analyzed and the clinical characteristics were summarized .Results Hypokalemia occurred in 40 from 320 cases of glaucoma with the incidence rate being 12.5%.Among these 40 patients, 27 cases (67.5%) had hypertension, 25 cases (62.5%) had diabetes mellitus, 3 cases (7.5%) had hyperthyroidism. Conclusions There are potential risks suffering from drug-induced hypokalemia in patients with glaucoma during the treatment.A variety of endocrine, metabolic disorders could also cause hypokalemia .Ophthalmologists need to improve the understanding of hypokalemia .Timely diagnosis and treatment might prevent the more serious complications , even life-threatening consequences.